{include file="public/head"/}
  
  <body>
    <div class="x-body">
        <form class="layui-form" action="{:url('refund')}" method="post" enctype="multipart/form-data">
           
            
			<div class="layui-form-item">
                <label for="parking_id" class="layui-form-label">
                    <span class="x-red">*</span>所属小区:
                </label>
                <div class="layui-input-inline" style="width: 300px;">
                    <select name="community_id">
                        <option value=""><------所属小区------></option>
                        {foreach $communitylist as $community}
                        <option value="{$community.community_id}" >{$community.community_name}</option>
                        {/foreach}
                    </select>
                </div>
            </div>
			
            <div class="layui-form-item">
                <label for="out_order_no" class="layui-form-label">
                    <span class="x-red">*</span>订单号:
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="trade_no"  name="trade_no"
                    autocomplete="off" class="layui-input"  style="width: 300px;" >
                </div>
            </div>

            

            <div class="layui-form-item">
                <label for="pay_money" class="layui-form-label">
                    <span class="x-red">*</span>订单金额:
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="pay_money"  name="paymoney"
                    autocomplete="off" class="layui-input"  style="width: 300px;" >
                </div>
            </div>

            <div class="layui-form-item">
                <label for="refund_money" class="layui-form-label">
                    <span class="x-red">*</span>退款金额:
                </label>
                <div class="layui-input-inline">
                    <input type="text" id="refund_money" name="refund_money" required="" lay-verify="required"
                    autocomplete="off" class="layui-input"  style="width: 300px;" >
                </div>
            </div>

            

            <div class="layui-form-item">
                <label for="L_repass" class="layui-form-label">
                </label>
                <button  class="layui-btn" lay-filter="add" lay-submit="">
                    提交
                </button>
            </div>
        </form>
    </div>
    
    <script>var _hmt = _hmt || []; (function() {
        var hm = document.createElement("script");
        hm.src = "https://hm.baidu.com/hm.js?b393d153aeb26b46e9431fabaf0f6190";
        var s = document.getElementsByTagName("script")[0];
        s.parentNode.insertBefore(hm, s);
      })();</script>
  </body>

</html>